Individual provider Active NPI

Cheryl E Shanks, ARNP

  • Nurse Practitioner
  • Blue Rapids, KS
National Provider Identifier
1063432094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
44598 Issued in KS
Practice address
607 Lincoln St
Blue Rapids, KS 66411-1419
Phone
(785) 363-7202
Fax
(785) 363-7630
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 44598 KS Primary

Addresses

Primary practice location

607 Lincoln St
Blue Rapids, KS 66411-1419

Mailing address

607 Lincoln St
Blue Rapids, KS 66411-1419
Phone (785) 363-7202

Other identifiers 2

IdentifierTypeStateIssuer
160788OtherKSBC/BS KS
425760OtherKSFIRST GUARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000584 KS Practitioner - Nurse Practitioner 6800816927 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Community Memorial Healthcare IncGroup PAC ID 6608763503, shared by 7 NPIs, 19 clinicians

Practice addresses (Care Compare)

607 Lincoln St
Blue Rapids, KS 66411-1419
Phone (785) 363-7202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Healthcare, Inc CurrentSince Jun 3, 2002 Accepting new patients
Rooks County Health Center CurrentSince Mar 14, 2025 Accepting new patients
Rooks County Health Center CurrentSince Mar 14, 2025 Accepting new patients
Rooks County Health Center CurrentSince Mar 14, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Community Memorial Healthcare, Inc. CurrentSince Jun 3, 2002 Accepting new patients
Community Memorial Healthcare, Inc. Current Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Aug 17, 2025 Accepting new patients
Rooks County Health Center Current Accepting new patients
Community Memorial Healthcare, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Hiawatha Hospital Association, Inc. Current Accepting new patients
Comcare, P.a. Past Accepting new patients
Kansas State University Past Accepting new patients
Hiawatha Hospital Association Inc Nurse Practitioner Past Accepting new patients

Locations

607 Lincoln St
Blue Rapids, KS 66411
Phone (785) 353-7202

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

415 W Main St
Highland, KS 66035
Phone (785) 442-3213

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

Interoperability endpoints

  • Direct secure messaging: cheri.shanks.1@16855.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063432094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 LINCOLN ST",
            "city": "BLUE RAPIDS",
            "state": "KS",
            "postal_code": "664111419",
            "telephone_number": "785-363-7202",
            "fax_number": "785-363-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 LINCOLN ST",
            "city": "BLUE RAPIDS",
            "state": "KS",
            "postal_code": "664111419",
            "telephone_number": "785-363-7202",
            "fax_number": "785-363-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "CHERYL",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS KS",
            "identifier": "160788",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "425760",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Rapids, KS

Sources for this page

Verify at the official NPI Registry.